Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jane Royse Roskowski, PHD, LP, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932443009

Dr. Jane Royse Roskowski, PHD, LP, LPC is a Clinical Psychologist in Minnetonka, Minnesota. Qualified in 2009, 17 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota, North Carolina, Pennsylvania and Puerto Rico.

Years since qualifying
17
Licensed in
MN, NC, PA, PR
In the registry since
2012
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

13100 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1810
Phone: (952) 206-2040
Fax: (952) 206-2041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 — (952) 993-2400
  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-2277

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP5637 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CADC 4441 (PA)
Professional Counselor Taxonomy 101YP2500X · Licence PC000514 (PR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4279 (NC)

Record details

NPI number1932443009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP , LPC
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESJune 5, 2019
Mailing address5320 Hyland Greens Dr, Bloomington, MN 55437-3934

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Minnetonka